WO2020165474A1

WO2020165474A1 - Device for safely transporting a newborn together with the mother to an outpatient setting and method for using the device

Info

Publication number: WO2020165474A1
Application number: PCT/ES2020/070054
Authority: WO
Inventors: María Isabel VIRTUS ALDANONDO
Original assignee: Virtus Aldanondo María Isabel
Priority date: 2019-02-15
Filing date: 2020-01-27
Publication date: 2020-08-20
Also published as: EP3925496A4; ES1232360U; EP3925496A1; ES1232360Y

Abstract

The invention relates to a device for safely transporting a newborn together with the mother to an outpatient setting, which comprises two fixed-length top straps (4) extending from the top part of a canvas (2); two length-adjustable side straps (3) extending from the bottom side parts of the canvas (2); two bottom straps (6) extending from the side straps (3); and a quick-opening closure clip (5) for joining the top straps (4) to the side straps (3), such that in use, the top straps (4) are arranged on the mother's shoulders and the side straps (3) are arranged on the mother's back, while the newborn is disposed between the canvas (2) and the mother's chest, allowing skin-to-skin contact between the two.

Description

DESCRIPTION

"Device for the safe transfer of a newborn with his mother in the extra-hospital environment and procedure for using the device"

TECHNICAL SECTOR

The object of the present invention is a device for transporting a newborn with his mother by ambulance or medical helicopter, when the delivery has taken place outside the hospital, imitating the "kangaroo method". The device guarantees the safety of the baby during the transfer and strengthens the bond between the mother and the newborn, in addition to allowing the continuity of care for both the mother and the newborn by health professionals.

PRIOR STATE OF THE TECHNIQUE

At present, when a delivery occurs outside the hospital environment, one must choose between the safety of the patient during the transfer to the referral hospital, separating the mother from the newborn (the transfer is carried out in two ambulances), or allowing them to go together to promote the bond between both, but without guaranteeing the safety of the newborn in the event of an unforeseen event on the road. In the latter case, the newborn is transferred in the arms of its mother, without other support.

Thus, when a delivery occurs outside the hospital environment, there are several transfer options:

Transfer the mother and the newborn together. The mother on the stretcher, with the stretcher's fastening system. The newborn in his mother's arms, without a restraint system. The safety of the newborn cannot be guaranteed in the event of an unforeseen event on the road, it could be fired.

The newborn in the arms of a healthcare professional in the ambulance. They both go on the same resource; the mother on the stretcher, with the stretcher's own clamping system; the professional is seated with the seat belt and the newborn in your arms. The safety of the newborn cannot be guaranteed in the event of an unforeseen event on the road.

Use a retention system such as the Kidi-safe © with its reducer to transfer the newborn. It forces the mother to be separated from the baby and to use two resources (not always possible due to availability limitations). We would be preventing the bond between the mother and the newborn. Safety is guaranteed during the transfer.

Use transport systems for the newborn (transport incubator, Babypod ©). As in the previous case, we separate the mother from the newborn and we need two resources for the transfer. In addition, we would have another limitation, since due to space, it is not possible to carry any of the devices in the ambulance. Another recourse, if available, would have to bring the device closer to the site and therefore the move is delayed.

At present there is no security system or device that allows the joint transfer of the mother and the newborn to the reference hospital, guaranteeing the safety of both during the transfer and which also favors the bond between the mother and the newborn.

Document FR3000892A1 refers to a device for the safe immobilization of a newborn in a ventral or dorsal position on the breast of its mother while lying on a stretcher during transport in a medical vehicle. The device comprises a canvas, straps and a strap closure system. The canvas has a grid on which the newborn is placed and a harness from which the straps come out, the harness being located in the center of the canvas. The canvas has fold areas so that it can be folded around the newborn by wrapping it, and a central opening for the passage of the newborn's head, so that the newborn is arranged on the grid and completely wrapped by the canvas, except for the head. Some of the straps are folded over the newborn to secure the device to the newborn, and other straps are used to attach the device with the newborn to the stretcher on which the mother is lying, leaving the newborn lying on the mother's breast, with indirect contact with the mother through the canvas grid. EXHIBITION OF THE INVENTION

The object of the invention is to provide a device for the safe transfer of a newborn with its mother in the extra-hospital environment and a method of using the device, as defined in the claims.

One aspect of the invention relates to a device for the safe transfer of a newborn with its mother in the out-of-hospital environment that comprises a canvas, straps and a closure system. The straps are two upper straps of a fixed length coming out of the top of the tarp, two side straps of an adjustable length coming out of the bottom and side of the tarp, and two lower straps coming out of the side straps; and the closure system is a quick-opening clip-type closure for joining the upper straps with the side straps; such that in use the upper straps are arranged on the mother's shoulders and the side straps are arranged on the mother's back, while the newborn is arranged between the canvas and the mother's breast allowing skin-to-skin contact of both .

Another aspect of the invention refers to a method of use of the transfer device that comprises placing the newborn between the canvas and the maternal breast allowing skin-to-skin contact of both, placing the device on the mother by joining the lateral straps with the upper straps and joining the lower straps together, so that the canvas is arranged on the maternal breast, the upper straps are arranged on the shoulders and the side straps are arranged on the back; and adjust the length of the side straps by tensioning the canvas.

This device for the safe transfer of the newborn with his mother in the out-of-hospital environment, allows the mother and her newborn to be safely transferred from the place where the birth was given to the referral hospital. The mother wears the stretcher's own retention systems, and the newborn is attached to its mother. Only one resource is required for the move and the move is not dependent on the availability of more resources or delayed. Continuity of care for both is facilitated. Also, by mimicking the kangaroo method, the baby's skin-to-skin contact with its mother is allowed.

Skin-to-skin contact helps babies to adapt to extrauterine life and to maintain their body temperature, avoiding hypothermia. Decrease crying time, enhance bond between mother and newborn, and facilitates the establishment of breastfeeding, since the baby instinctively seeks and finds the nipple, spontaneously latches on and initiates the first feeding. This spontaneous entrenchment after birth is associated with easier and longer lactations.

The use of a tarpaulin with the straps coming out of the upper part and the lower-lateral part of the tarpaulin allows the tarpaulin to be fixed to the mother while the newborn is covered on top with the tarpaulin, but maintaining skin-to-skin contact between the mother and newborn. In addition, the union of the upper straps with the lateral straps on the mother's back makes it possible to ensure the fixation of the device while avoiding that there are straps that pass over the newborn and that could damage it.

On the other hand, the fixed length of the upper straps that are arranged on the mother's shoulders, together with the adjustable length of the side straps, allows the closure system of the upper straps with the side straps to remain in an accessible place for healthcare personnel when the mother is lying on the stretcher, so that the closure can be quickly accessed in an emergency for the health of the newborn or mother.

DESCRIPTION OF THE DRAWINGS

To complement the description and in order to help a better understanding of the characteristics of the invention, a set of drawings is attached. The following has been represented:

Figure 1.- Shows a front view of a first embodiment of the device of the invention.

Figure 2.- Shows a front view of the bag to store the device.

Figure 3.- Shows a front view of an open clip closure.

Figure 4.- Shows a front view of a closed clip closure. Figure 5.- Shows a front view of the device of the invention placed in a woman with the newborn.

Figure 6.- Shows a view of the back of a woman with the device of the invention in place, with the straps uncrossed.

Figure 7.- Shows a view of the back of a woman with the device of the invention in place, with the straps crossed.

Figure 8.- Shows a front view of a second embodiment of the device of the invention.

DETAILED EXHIBITION OF THE INVENTION

The device is made up of a canvas-like body; from the bottom and side of the canvas come two side straps (one at each end) with a clip-type closure system (already on the market); two other upper straps come out of the upper part of the canvas that end in a clip-type closure system. Other lower straps come out of the side straps that are joined together on the mother's back by means of a sailboat to provide greater security to the device and comfort to the mother. The newborn is placed between the canvas and the mother's breast.

Straps: The device is made up of six straps in total. Two upper straps coming out of the upper part of the tarpaulin, two lateral straps coming out of the inferior-lateral part of the tarpaulin and two lower straps coming out of the lateral straps. The top straps are a fixed length and end in a clip closure. The side straps are adjustable in length and have a clip closure. The upper straps are attached to the sides by means of the clip closure, they can be placed across the back or not. The two lower straps are joined together by a sailboat and are on the mother's back.

The length adjustment system of the side straps is located at the free ends of the straps. It is a quick adjustment system, once placed on the mother and placed the child between the mother and the canvas, you just have to pull the free end of it to tighten it, and to loosen it, you pull the other end while holding the regulator . Let the device adapts to the different anthropometries of women.

The clip-type closure system is safe and easy to open. The union of the clip-type closure systems is in the front part of the woman's shoulders, in this way they do not bother the woman. They are clearly visible, so that in case of needing quick access to the newborn or the mother, it can be done by activating the clip, the canvas will be released and either of the two can be attended to quickly. With this closure system, we are assured that healthcare professionals have quick access to the newborn and / or the mother in case any of them become unstable during the transfer.

The size of the canvas allows it to cover full-term and premature newborns.

This system ensures the perfect subjection of the child to its mother and facilitates the bond between the mother and the newborn, as well as the stability of the temperature of the newborn by allowing it to be in skin-to-skin contact with its mother.

It is, therefore, a device that is adaptable to the mother and the newborn, safe and comfortable for the mother who has just given birth, and also simple and easy to use for professionals. It guarantees the safe transfer of the mother and the newborn together in the extra-hospital environment. It also allows a healthcare professional to carry the newborn safely during the transfer in case the mother is unable to do so at that time.

To guarantee the perfect state of cleaning of the device, it is stored in a 5cm x 20cm x 30cm bag, in this way the device is always in perfect condition. This bag has handles for easy portability and a zip closure. Due to its size, it can be easily stored in both the ambulance and the medical helicopter.

Being a device aimed at the outpatient environment, it has a series of characteristics that reduce the risk of contagion among patients:

The design allows easy handling and minimizes product contamination by the patient or vice versa during use. The materials used for its manufacture are resistant to bacteria, fungi, stains, putrefaction and disinfectants (bleach, soapy water, alcohol, hydrogen peroxide and other possible liquid disinfectants).

It is washable, waterproof, gasoline / oil resistant and fire retardant.

The breaking tension of the belts is greater than 7.2 KN

Storage temperature -30 ° C to 70 ° C

It is resistant to vibrations transmitted by the ambulance or possible shocks.

The materials used are compatible with biological tissues, cells and body fluids, taking into account the intended purpose of the product.

A first non-limiting embodiment of the device of the invention is described below with reference to the attached figures.

In figure 1 a front view of the device (1) can be seen. In this figure it can be seen that the device comprises a canvas (2), side straps (3), upper straps (4), lower straps (6) and a closure system (5).

The canvas (2) is in the shape of a trapezoid, it is slightly wider at the bottom and narrower at the top to adapt to the woman's anatomy. The measurements of the canvas (2) are: lower part 45 cm, upper part 40 cm and height 40 cm. This canvas (2) is the one that will be in contact with the newborn. It can be seen in figure 5.

From the sides of said canvas (2), in the lower part, come out the two lateral straps (3), adjustable in length to the anthropometry of the mother and the newborn. Measures 90x5 cm. From the upper part of the canvas (2) come the other two upper straps (4), which are shorter than the side straps (3) and of a fixed length, measuring 5x5 cm. The lateral (3) and upper (4) straps are joined together by a clip-type closure system (5) and easy to open that remains on the front of the woman's shoulder (one on each shoulder). See figure 5.

The length regulation system is located at the free ends of the side straps (3) which, once attached to the upper straps (4), remain on the front of the woman's shoulders. It is a quick adjustment system, once placed on the mother and placed the child between the mother and the canvas, you only have to pull the free end of it to tighten it and to loosen it, you pull the other end while holding the regulator. The side straps (3), depending on whether they are attached to the upper straps (4) on their side or on the other side, allow two fastening possibilities, crossed or not. See Figures 6 and 7.

Other lower straps (6) come out from the sides of the lateral straps (3) that are joined together by sailboat and remain on the mother's back. These lower straps (6) increase the holding of the device, especially when it is not possible to place the lateral straps (3) crossed, guaranteeing the safety of the newborn during the transfer. Measures 40x5 cm each. See Figures 6 and 7.

In figure 5, the device (1) can be seen from the front and placed on the woman. Also, you can see one of the possible positions that the newborn would adopt on his mother's breast; as well as the location of the clip closure (5).

In figures 3 and 4 you can see a front view of an open and closed clip type closure system (already on the market).

The device (1) is stored in a bag (7) of 5x20x30 cm. This bag (7) has handles (8) to make it easily portable and a zip closure (9). See figure 2.

The size of the bag (7) allows it to be easily stored in the ambulance and guarantees the preservation of the device (1) in perfect clean condition until use.

This device (1) is of preferential application for the transfer by ambulance or medical helicopter of the mother and the newborn together, provided that the delivery has taken place in the extra-hospital environment and there are no complications. It guarantees a safe transfer of the newborn with its mother and allows skin-to-skin contact for both, enhancing the bond between the mother and the newborn. It also allows a healthcare professional to carry the newborn safely during the transfer in case the mother is unable to do so at that time.

A second non-limiting embodiment of the device of the invention is described below with reference to FIG. 8. All the features described for the first embodiment are applicable to the second embodiment. Figure 8 shows a front view of the second embodiment of the device (1 '). In this figure it can be seen that the device comprises a canvas (2 '), side straps (3'), upper straps (4 '), lower straps (6', 10 ') and a closure system (5 ').

From the sides of said canvas (2 '), in the lower part, the two lateral straps (3') come out, which are adjustable in length. From the upper part of the canvas (2 ') come the two upper straps (4'), which are shorter than the side straps (3 ') and of a fixed length. The lateral (3 ') and upper (4') straps are joined together by a clip-type closure system (5) and easy to open that remains on the front of the woman's shoulder (one on each shoulder). See figure 8 and figure 5.

The side straps (3 '), depending on whether they are attached to the upper straps (4') on their side or on the other side, allow two fastening possibilities, crossed or not. See Figures 6 and 7.

Other lower straps (6 ', 10') come out from the sides of the lateral straps (3 ') that are joined together by means of a clip-type closure (5') and remain on the mother's back. These lower straps (6 ', 10') increase the holding of the device, especially when it is not possible to place the lateral straps (3 ') crossed, guaranteeing the safety of the newborn during the transfer.

The two upper straps (4 ') exit from the top of the tarp (2'), each from one corner of the top of the tarp (2 '), and in an oblique direction towards the outside of the tarp ( two'). The two side straps (3 ') exit from the bottom and side of the tarpaulin (2'), each one from a corner of the lower-lateral part of the tarpaulin (2 '), and with an oblique direction outwards of the canvas (2 '), so that the side straps (3') are preferably directed obliquely to connect with the upper straps (4 ') passing in a cross way over the mother's back.

The lower straps (6 ', 10') emerging from the side straps (3 ') are two pairs of straps. The first pair of lower straps (6 ') comprises a lower strap of fixed length that comes out from one of the side straps (3') and a lower strap of adjustable length that comes out from the other of the side straps (3 '), the lower straps (6 ') being joined together by means of the clip type closure (5'). The second pair of lower belts (10 ') also comprises a fixed-length lower belt that exits from one of the belts. side straps (3 ') and an adjustable length lower strap that comes out from the other of the side straps (3'). Each fixed length lower strap exits from one of the lower sides of the tarpaulin, and therefore each adjustable length lower strap also exits from one of the lower sides of the tarpaulin, leaving all the lower straps (6 ', 10') from the side straps (3 '). In this way, the first pair of lower straps (6 ') is arranged in a lower position than the second pair of lower straps (10'), so that when the device is in use, the lower straps (6 ', 10 ') are arranged one above the other on the mother's back at the waist.

The canvas (2 ') has folds (11') that define a cavity in the central part of the canvas (2 ') to cover the newborn. The folds (11 ') are located in the central and lower part of the canvas (2') and are back and forth seams with a gusseted shape that cause the canvas (2 ') to bulge in its central area so that the newborn is located improving its support. In addition, the cavity helps to avoid the need to use straps that go over the canvas and that can harm the newborn.

The canvas (2 ') has holes (12') for perspiration of the newborn. The holes (12 ') are located in the upper part of the canvas (2') and allow to evacuate the excess heat that can be created in the interior area of the canvas by the skin-to-skin contact that is established between the mother and the newborn. The upper location of the holes is suitable so that air currents are not generated by the central or lower part of the interior of the canvas that can cool the newborn, or the mother.

Claims

1. Safe transfer device for a newborn with his mother in the out-of-hospital environment, comprising a canvas (2,2 '), a strap (3, 3', 4, 4 ', 6, 6', 10 ') and a closing system (5.5 '), characterized in that the straps are two upper straps (4.4') of a fixed length that come out of the upper part of the canvas (2.2 '), two side straps (3 , 3 ') of an adjustable length coming out of the lower and lateral part of the canvas (2.2'), and two lower straps (6.6 ') coming out of the side straps (3.3'); and because the closure system is a clip-type closure (5.5 ') with quick opening connecting the upper straps (4.4') with the side straps (3.3 '), such that in use the straps The top straps (4.4 ') are placed on the mother's shoulders and the side straps (3.3') are placed on the mother's back, while the newborn is placed between the canvas (2.2 ') and the maternal breast allowing skin-to-skin contact of both.

Device according to claim 1, wherein the canvas (2,2 ') is in the shape of a trapezoid.

Device according to any of the preceding claims, additionally comprising a portable bag (7) to store the device, wherein the portable bag (7) has handles (8) and a zip fastener (9).

Device according to any of the preceding claims, wherein the material used for the canvas (2,2 ') is washable and waterproof.

5. Device according to any of claims 3 to 4, wherein the portable bag (7) is made of the same material as the canvas (2,2 ').

Device according to any of the preceding claims, wherein the lower straps (6) have a sailboat closure to be joined together.

Device according to any one of claims 1 to 6, wherein the lower straps (6 ', 10') have a clip-type closure (5 ') to be joined together.

Device according to any of the preceding claims, wherein the upper straps (4.4 ') have measurements of 5x5 cm of fixed length and the straps sides (4) have measures of 90x5 cm in adjustable length.

Device according to any of the preceding claims, which additionally comprises two other lower straps (10 ') that come out of those of the side straps (3') and which are joined together by means of a clip-type closure (5 ').

10. Device according to any one of the preceding claims, wherein the belts (3, 3 ', 4, 4', 6, 6 ', 10') have a breaking stress greater than 7.2 KN.

Device according to any of the preceding claims, wherein the canvas (2 ') has folds (11') that define a cavity in the central part of the canvas (2 ') to cover the newborn.

12. Device according to any of the preceding claims, wherein the canvas (2 ') has holes (12') for perspiration of the newborn.

Device according to the preceding claim, wherein the holes (12 ') are located in the upper part of the canvas (2').

14. Procedure for using the device defined according to any of the preceding claims, which comprises placing the newborn between the canvas (2,2 ') and the maternal breast allowing skin-to-skin contact of both, placing the device on the mother by joining the side straps (3,3 ') with the upper straps (4,4') and joining the lower straps (6,6 ', 10') together, so that the canvas (2,2 ') is arranged on the maternal breast, the upper straps (4.4 ') are arranged on the shoulders and the side straps (3.3') are arranged on the back; adjust the length of the side straps (3.3 ') by tightening the canvas (2.2').

15. Method according to the preceding claim, wherein the side straps (3,3 ') are joined to the upper straps (4,4') crossed at the back, leaving the lateral straps (3,3 ') crossed each other by the mother's back, or the side straps (3.3 ') are attached to the top straps (4.4') without crossing the back, with the side straps (3.3 ') being parallel to each other by mother's back.